Sleep Learning Education and Empowerment for Older Korean Immigrants

NCT07387406 | Recruiting

• 2 other identifiers: R21AG0868171R21AG086817-01A1
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Poor sleep is common among Asian Americans. Untreated sleep problems increase the risk of chronic diseases, cognitive decline, and mortality. Cognitive behavioral therapy for insomnia (CBTI) is considered the first-line treatment for chronic sleep problems and has demonstrated significant improvement in sleep health among older adults. However, existing CBTI is built upon Western culture, making it challenging to apply for Asian immigrants who maintain close ties to their native cultures that shape and influence their sleep habits. Addressing the lack of availability of a culturally adapted sleep intervention program is the first step to filling the gap in sleep health disparity among Asian immigrants. This study aims to pilot test the feasibility and the preliminary efficacy of a culturally adapted sleep intervention program among older Korean immigrants with poor sleep, one of the fastest-growing immigrant groups in the United States with limited access to mainstream sleep therapies.

Conditions

Insomnia Chronic

Keywords

older Korean Americans; sleep; behavioral approach

Outcome Measures

Primary Outcomes (2)

• Objective Sleep Efficiency

  Nighttime sleep efficiency (i.e., mean percent of time in bed spent asleep at nighttime) will be calculated from 7 consecutive days and nights of wrist actigraphy (Scores range from 0 to 100%, with higher values indicating better objective sleep quality)

  Immediately after the last session of the intervention

• Subjective Sleep Quality

  Total score on the Korean version of the Insomnia Severity Index (ISI) will be used as a measure of subjective sleep (Scores range from o to 18, with lower values indicating better subjective sleep quality)

  Immediately after the last session of the intervention

Secondary Outcomes (1)

• Acceptability of the Intervention

  Immediately after the last session of the intervention

Other Outcomes (4)

• Feasibility of Recruitment

  Immediately after enrolled

• Feasibility of Randomization and Retention

  Immediately after enrolled

• Adherence to the Intervention

  Immediately after the last session of the intervention

Study Arms (2)

Sleep Intervention Program

EXPERIMENTAL

This is a culturally adapted sleep education program built upon key components of cognitive behavioral therapy for insomnia (CBT-I)

Behavioral: CBT-I based sleep intervention

Control

PLACEBO COMPARATOR

This involves with general information about sleep

Behavioral: Sleep Education

Interventions

Sleep Education BEHAVIORAL

This group will receive information about sleep and aging, but without specific or individualized recommendations

Control

CBT-I based sleep intervention BEHAVIORAL

A multicomponent behavioral sleep program, consisting of sleep compression, stimulus control, sleep hygiene, relaxation, daily physical activity, and light exposure

Sleep Intervention Program

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Korean immigrants (i.e., being a resident of the United States with a birthplace in Korea)
• Able to speak, read, and write in Korean
• Aged at least 60 years
• Have a score of at least 15 on a Korean version of the Insomnia Severity Index
• Able to ambulate with or without an assistive device
• Have a score of at least 23 on a Korean version of the Montreal Cognitive Assessment (MoCA)
• Score less than 5 on STOP-BANG (or proceed with an additional testing \[Watch Peripheral Arterial Tonometry (WatchPAT) and the Epworth Sleepiness Scale if score is equal to or greater than 5 on STOP-BANG)

You may not qualify if:

• Those who are bedbound
• Those who do not meet the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria for insomnia disorder
• Those who have an untreated apnea-hypopnea index (AHI) at least 15 (moderate obstructive sleep apnea) and Epworth Sleepiness Scale (ESS) at least 11 (indicating mild sleepiness) OR AHI is equal to or greater than 30 (irrespective of ESS)

Sponsors & Collaborators

• University of California, Los Angeles: lead
• National Institute on Aging (NIA): collaborator

Study Sites (1)

University of California Los Angeles

Los Angeles, California, 90095, United States

RECRUITING

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Central Study Contacts

Yeonsu Song, PhD

CONTACT

310-983-3029; ysong@sonnet.ucla.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 27, 2026
• First Posted: February 4, 2026
• Study Start: February 24, 2026
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): January 4, 2027
• Last Updated: March 5, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: by the end of the project period or at the time of publication, whichever is sooner,

Locations

US (1)